PAUL C HANLON OD
NPI 1689725319
Optometrist in Rochester, NY

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
2300 BUFFALO RD, BLDG 700, ROCHESTER, NY 14624(585) 328-0153(585) 328-0158 Get Directions Write a Review

NPPES record last updated: October 27, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul C Hanlon Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL C HANLON OD (NPI 1689725319) is an individual optometrist in Rochester, New York, licensed in New York (TUV003238-1) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1972).

NPPES Registry Identity

NPI1689725319
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NamePAUL C HANLONCredential: OD
Location Address2300 BUFFALO RD, BLDG 700Rochester, NY 14624-1360
Mailing Address2300 Buffalo Rd, Bldg 700Rochester, NY 14624-1360 · (585) 328-0153 · Fax (585) 328-0158
Fax(585) 328-0158
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1972
Enumeration DateJanuary 16, 2007
Last NPPES UpdateOctober 27, 2009
NPI 1689725319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in NY · TUV003238-1
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

2300 BUFFALO RD, Rochester, NY 14624

Other Identifiers 2

Medicare PINRB2897
Medicare ID-Type UnspecifiedT26179NY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Paul C Hanlon Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931206117
PECOS Enrollment IDI20070523000159
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
120 services115 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
22 services22 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services17 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14624 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%30 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
2300 BUFFALO RD, BLDG 700
ROCHESTER, NY 14624
Optometrist
2300 BUFFALO RD, BLDG 700
ROCHESTER, NY 14624
Genetic Counselor, MS
2300 BUFFALO RD, BUILDING 100, SUITE B
ROCHESTER, NY 14624
Counselor (Mental Health)
2300 BUFFALO RD, BUILDING 100 SUITE B
ROCHESTER, NY 14624
Speech-Language Pathologist
2300 BUFFALO RD, BLDG. 100-A
ROCHESTER, NY 14624
Physical Therapist
2300 BUFFALO RD, BLDG. 100C
ROCHESTER, NY 14624
Physical Therapist
2300 BUFFALO RD, BUILDING 100
ROCHESTER, NY 14624
Physical Therapist
2300 BUFFALO RD, BLDG. 100C
ROCHESTER, NY 14624

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Hanlon's NPI number?

The NPI number for Paul Hanlon is 1689725319. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Paul Hanlon located?

Paul Hanlon practices at 2300 Buffalo Rd Bldg 700, Rochester, NY 14624. The listed phone number is (585) 328-0153.

What is Paul Hanlon's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Paul Hanlon enrolled in Medicare?

Yes. Paul Hanlon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Hanlon accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Paul Hanlon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Hanlon was last updated on October 27, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.